Rebecca Ann Bennett

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

KK257903 Issued in CA

Practice address

552 E Carson St Ste 104
Carson, CA 90745-2897

Phone

(323) 867-6379

NPI assigned

Nov 7, 2022

Last updated

Nov 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summerann Styles

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Carson, CA
  • NPI 1912615279
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1215645569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 E CARSON ST STE 104",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452897",
            "telephone_number": "323-867-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 E CARSON ST STE 104",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452897",
            "telephone_number": "323-867-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "CA",
            "license": "KK257903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Deguzman Ben, OTD, OTR/L
• Evagrio Pagkaliwangan Bencito, NP
• Zita Chidimma Benjamin, NP
• Kevin Bennett
• Lorilynn Ann Bennett
• Ryan Joshua Bentick
• Allen Berger, PH.D PSYCHOLOGIST
• Sofia Bernabe
• Brittany Lyshion Berry, MSW, LCSW
• Celia De Guzman Beto, DMD

• Prosthetics Case Management in Carson, CA
• Providers in Carson, CA by specialty
• Prosthetics Case Management in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.